NEW MEXICO YHEC
NEW MEXICO - N R A YOUTH HUNTER EDUCATION CHALLENGES P O N S O R E D B Y NEW MEXICO SHOOTING SPORTS ASSOCIATIONNEW MEXICO 4-HNEW MEXICO DEPARTMENT OF GAME AND FISHJune 3, 4, 5, 2016NRAWhittington CenterRaton, New MexicoACTIVITY RULES AND REGULATIONSChallenge DirectorRick Andes105 Sharps Ave.Clovis, New Mexico 88101(575) 762-4864 (phone)N E W M E X I C ON R A YOUTH HUNTER EDUCATION CHALLENGE2016TABLE OF CONTENTSSchedule 1N R A Code of Ethics 2Introduction 3Requirements 3-4Regulations 4Safety Rules, Scoring, 5Awards, Ties, 6 Challenges, Protests, Alibis, Ammunition 6-7Hunting Wildlife Identification Challenge 7Hunting Orienteering Challenge 8Hunting Safety Trail Challenge 9Hunting Responsibility Challenge 9Hunting Archery Challenge10 Hunting Shotgun Challenge11-12Hunting Light Rifle Challenge13Hunting Muzzleloading Challenge14-15Coaches Participation15APPENDIX A - Entry FormsScheduleFriday: Groups arrive, practice, etc.10:00 AM, Opening Ceremony/ Coaches Meeting, Coors Building1:00 PM, LET THE FUN BEGIN. All Events, (except Test) open for Competition.This year, I would like for the coaches to bring to the stage, a list of their team members. I will read the list at the Opening Ceremony. If you would like to make or have made a banner to represent your team, please bring it with you. This way, ALL the youth get some recognition.I will assign starting positions on Friday for both Days. You can go to any event next EXCEPT your Saturday starting position after you finish your starting event.The office will be open by 2:00PM on Thursday for registration and everyone needs to be registered by 10:00am, Friday. Please use the website for registration if possible.Friday Evening, 6:00 PM, Written test at Coors BuildingSaturday: All events open at 7:00 AM All groups must be finished by 5:00 PM. No Exceptions!Sunday: 8:00 AM Awards, Coors BuildingSchedule is subject to change due to weather conditions and or other unforeseen events.Schedule changes were requested to help facilitate travel/time issues.-1-NRA HUNTER'S CODE OF ETHICS1.I will consider myself an invited guest of the landowner, seeking His/her permission, and so conducting myself that I may be welcome In the future.2.I will obey the rules of safe gun handling and will courteously but Firmly insist that others who hunt with me do the same.3.I will obey all game laws and regulations, and will insist that my companions do likewise.4.I will do my best to acquire those marksmanship and hunting skills which will insure clean sportsmanlike kills. 5.I will support conservation efforts which can assure good hunting For future generations of America.6.I will pass along to younger hunters the attitudes and skills essential to a true outdoor sportsman.- 2 -I N T R O D U C T I O NThe NRA Youth Hunter Education Challenge State Championship is conducted annually in cooperation with NRA by the New Mexico Shooting Sports Association, the New Mexico Department of Game and Fish and New Mexico 4-H.To be eligible to participate, one must be:1. A resident of New Mexico or declare your state preference.2.A graduate of a Hunter Education course. Since not all states teach Hunters Education the same way, it is recommended that the participant sit in on or take a New Mexico Hunter Education course. All information on all activities has been taken from the NRA Hunter’s Guide, New Mexico Hunter Education Student Manual, New Mexico Big Game Proclamation, Be An Expert With Map and Compass Orienteering Handbook, A Field Guide to Western Birds, A Field Guide to the Mammals, or Your Way with Map and Compass Orienteering.AGE - TEAM REQUIREMENTSParticipants eleven or younger at the start of the event will participate as Sub Juniors.Participants must be twelve to fourteen years of age at the start of the event to be eligible to participate as juniors, but may not be able to compete as a junior for International YHEC. Participants must be fifteen to eighteen years of age at the start of the event to be eligible to participate as seniors.All participants may enter the senior category. All competitors may participate either as individuals and/or on five (5) person teams but must compete in the same age group for both team and individual.Teams will consist of five (5) participants who may or may not be from the same city or county. Team members must be declared before the Challenge begins and may not be changed during the Challenge.ENTRIES AND CANCELLATIONSEach participant and/or team must be pre-registered with New Mexico Shooting Sports Association/YHEC by May 20, 2016 with an accompanying registration fee of $25 per participant. The registration fee will cover awards, targets, keepsakes and entry packet. The registration fee is NOT refundable. The registration fee is transferable to designated alternates.See Appendix A for required Entry Forms.TRAVEL AND ACCOMMODATIONSParticipants will be responsible for all travel expenses to the New Mexico Youth Hunter Education Challenge.Further information on accommodations at the NRAWhittington Center (NRA-WC) can be obtained by telephoning 575 445-3615 or writing to P. O. Box 700, Raton NM 87740.- 3 –ROOM AND BOARDAll participants will be responsible for their own room and board while attending the New Mexico Youth Hunter Education Challenge.Meals may or may not be available at the NRA Whittington Center . Contact the Whittington office to make sure meals are available.TEAMS AND INDIVIDUALSIn 2016, New Mexico will use an individual format and a team format for the New Mexico Challenge. Participants must designate whether they are with a team or participating as an individual. Teams will be eligible for team awards only. Individuals will eligible for individual awards only. Grouping of top individuals into teams after the New Mexico Challenge begins will not be allowed. All participants compete for individual awards. Team awards are given for overall aggregates.All participants must have successfully completed a hunter education course in New Mexico. Individuals are not required to have taken the same hunter education course, nor to have taken the class from the sponsoring instructor.Each individual or squad must have at least one sponsoring coach. The coach will chaperone and instruct for the duration of the New Mexico championship and will continue with the individual, squad or team if they qualify for the national Challenge.All participants will have to bring in their possession the following:1.Birth certificate or copy2.Hunter Education Card or copy3.Medical ReleaseNO Exceptions!!!!!!!!!!!!!.PROGRAM REGULATIONS:Safety will be the first and foremost consideration during all activities.Participants and spectators assume all risk of personal injury or property damage as noted on the required release form accompanying the pre-registration materials.Participants violating any safety rule will be given one warning and then be disqualified from further participation if a second infraction occurs. If the safety violation is severe, the participant may not be given a warning.Participants provide their own compasses and eye and ear protection. Participants should provide their own firearms and bows and arrows. A limited amount of loaner equipment is available provided prior arrangements are made with challenge director.No participant may participate for another team member in any activity, unless replacing them as a designated alternate for all events.- 4 -Participants are expected to exhibit behavior above reproach at all times. All participants and parents must sign a statement of understanding regarding behavior before they participate.SAFETY RULES1.Know and obey all range commands. 2.Guns and magazines are to be unloaded except when on the firing line, ready to fire.3.Arrows will not be knocked until on the firing line.4.All .22 rifles and shotguns must have a safety device. Muzzleloaders will remain uncapped until on the firing line. The safety will remain on, or in a safe condition, at all times except when ready to fire.5.All firearms will be pointed and bows drawn in a safe direction at all times.6.Actions of uncased firearms must always be open except when on the firing line, ready to fire.7.Only one shell or cartridge may be placed in a gun at a time, unless otherwise specified in the rules for the activity.8.Participants must wear adequate eye and ear protection while on the firing line.9.Firearms and bows should be placed in a gun or bow rackat the activity until called to participate. Firearms and bows not in use should be locked in vehicles or safe storage sites during the New Mexico Challenge. Their security is the coach’s responsibility.SCORING Individual scoring will be based on the participant's performance in each activity. Team scoring will be based on the aggregate of all individual team members’ scores.AWARDSThe individual in each category with the highest aggregate score in all eight events will be designated the New Mexico State YHEC Champion for their age group, and will be awarded a plaque. The individuals with the next two highest aggregate scores will be designated as second and third. -5-The team in each category with the highest aggregate score in all eight events will be designated the New Mexico State Champion Team for their age group. The teams with the next two highest aggregate scores will be designated as second and third. Plaques will be awarded to the individual team members of the State Champion Team and their coach. TIESTies for all activities will be broken as follows: The team or individual with the highest level of achievement in the Hunter Responsibility Exam will be declared the winner. If a tie remains, the team or individual with the highest level of achievement on the Hunter Safety Trail Challenge will be declared the winner. If a tie still remains, the team or individual with the highest combined level of achievement in the four (4) responsibility events (Hunter Responsibility Exam, Hunting Orienteering Skills, Hunting Wildlife Identification Challenge, Hunter Safety Trail), will be declared the winner. The final tie breaker will be based on a combined score of Shotgun, Rifle and Archery."Tie Breaking sequence: Responsibility Exam Hunter Safety Trail Combined score of Exam, Orienteering, Wildlife ID, Safety Trail Combined score of Shotgun, Rifle and ArcheryCHALLENGES Challenges concerning the value of shots as scored must be made immediately after the shot is scored and before the arrow is removed. Only participants may challenge and all challenges must be made during the challenge period and shall be made to the appropriate Event Director. All determinations by the Event Director on challenges will be final. PROTESTSProtests are to be brought to the attention of the Event Director. If the individual receives no satisfaction, a written protest may then be submitted to the YHEC Protest Committee within two hours of the protest, for review, consideration and final decision. The YHEC Protest Committee will handle all disputes except those regarding the value of shots as scored. Any questionable equipment, behavior or score will be decided by these officials based on regulations and guidelines printed in this Activity Manual. All decisions made by the Protest Committee will be final. The YHEC Protest Committee willbe composed of four persons (the YHEC Director and three assigned YHEC volunteers).-6-ALIBISOnly range, trap or ammunition malfunction will constitute an alibi. No alibis will be allowed for firearm, arrow or bow malfunction. In the event of a firearm or bow malfunction, participants may borrow a firearm or bow and continue the relay. No practice or sighting in will be allowed for borrowed firearms once the Challenge activities have started.AMMUNITION All ammunition used in the Light Rifle Challenge activity will be .22 caliber standard or High velocity rifle cartridges. No stinger, sniper, or super hot rounds or those with heavy bullets allowed.No sighter shots will be allowed once the Challenge begins.12 and 20 gauge ammunition in low brass target loads will be furnished to every participant. Any participant desiring to use a gauge other than the above will have to furnish their own shells. Only factory loaded target shells with shot size between 71/2 and 9 (inclusive) will be allowed. It will be the responsibility of the participant or coach to have these shells in the hands of the officials before the activity is fired.N O T E: DUE TO TIME CONSTRAINTS, THE HUNTER RESPONSIBILITY CHALLENGE EXAMINATION WILL BE GIVEN FRIDAY EVENING.HUNTING WILDLIFE IDENTIFICATION CHALLENGEA.Participants or teams will walk through a field and/or woodland course in a natural setting. The course is designed to simulate actual wildlife sign encounters while outdoors.B.The Hunting Wildlife Identification Challenge will be conducted with the participants or teams observing animal tracks, mounted (game) animals, reading wildlife signs and identifying them from one to fifty yards. Wildlife will be either mounted or tanned hides, depending on what is available; animal tracks can be original or molds made of the prints; the wildlife signs can be real or reproduced. C.No wildlife identification books, encyclopedias or other written, taped or transcribed material can be used in this activity. Also no talking will be allowed between the participants and instructors or other participants while on the course.-7-HUNTING ORIENTEERING SKILLS CHALLENGEA.Orienteering Skills Challenge: Participants or teams will be required to use a compass and complete a written exam. B.The Orienteering Skills Challenge will be conducted with the participants or teams taking a bearing with their compass. They may also be asked to close a triangle, identify map symbols, understand contour lines, scale, declination and map reading. The participant may be asked to identify how nature can give you different directions of travel (north, south, east and west, etc.). These situations can be used as well as many other in the Orienteering Skills Challenge (not to be announced before the program).C.Only magnetic compasses can be used on the Orienteering Skills Challenge course used without tripods or other support. No orienteering books, encyclopedias or other written taped or transcribed material can be used in this activity. Also, no talking will be allowed between the participant and instructors or other participants while on the course. Refer the NRA's Hunter’s Guide, Be An Expert With Map and Compass Orienteering Handbook by Bjorn Kjellstrom and Your Way with Map and Compass Orienteering by John Disley. These Silva Compass publications may be purchased through Johnson Camping, P. O. Box 966, Binghamton, NY 13902, or by calling 1-800-847-1460.D.Team scoring will be based on the five individual’s scores who make up the team. E. The Orienteering Course will close at 5:00 PM. - 8 -HUNTER’S SAFETY TRAIL CHALLENGEA.Hunter Safety Trail Challenge: Participants or teams will walk through a predetermined trail designed to simulate actual hunting conditions and situations. The participant will be required to demonstrate their knowledge of hunter safety on this practical field course.B.The Hunter Safety Trail Challenge will be conducted with the participants moving from station to station with each situation varying greatly. Participants may be tested and scored on the do's and don'ts of firearms safety and shoot/don't shoot situations encountered in a hunting environment. Stations may include, but are not limited to, hunter game situations, target identification, landowner relationships, ethics and safe gun handling afield.C.A ten point penalty, per designated station, will be assessed if a participant or team violates safety rules.D.No hunter education books or other written, taped or transcribed material can be used in this activity. Also, no talking will be allowed between the participant and instructor or other participants while on the course.E. Participants will be using primed (only) 20 ga. shotgun shells. Shotguns will be furnished by Game and Fish. HUNTER RESPONSIBILITY EXAMA.The Hunter Responsibility Exam will include 50 objective questions (written, multiple choice, true or false or fillintheblank).B.All questions are taken from information contained in NRA's Hunters Guide, NRA Hunting Skills Handbook, New Mexico Hunter Education Student Manual, or the 2016-2017 New Mexico Big Game Rules and Regulations. C.Participants must answer all test questions with no assistance from other participants, written materials or instructors.D.Students will have 60 minutes (one hour) to complete the test.E.There are no achievement levels in the Hunter Responsibility Exam. It is used as the primary tie-breaker for all events.The volunteers will ask, before the test is given out, if anyone would like the test read to them. It is the competitor’s responsibility to come forward so the test came be read to them. -9-HUNTING ARCHERY CHALLENGEA.Archery Challenge: Participants will walk through a field archery course in a natural setting. The course is designed to simulate shooting situations encountered while bowhunting.B.The Archery Challenge will be conducted with the participants taking shots at LifeSized Game Targets (3D) varying in distance. 45 yards maximum distance to target. NOTE: A time limit of 45 seconds will be applied at each station.C.Only hunting type compounds, recurves or long bows will be permitted. Bows may be equipped with hunting type sights. Shooters may use only one bow for this activity except in the case of malfunction. Only target or field points arrows will be permitted. Participants MUST HAVE A QUIVER IN ORDER TO COMPETE.D.Tie scores will be broken in both team and individual categories.E.The following will not be permitted for the Archery Challenge:1.Shocker or Bludgeon points.2.Extended sight bars that measure farther than six inches from the back of riser of bow to front of sight.3.More than six sight pins or positions4.More than one stabilizer5.Stabilizer over twelve inches6.Arrow shafts that do not have target or field points.7.Range finders, 8.CrossbowsBroadhead hunting tipsSights that have lens with or without magnification.-10-HUNTING SHOTGUN CHALLENGEA.Hunting Shotgun Challenge: Participants will walk through a Hunter's Clays course. This course is not patterned after conventional skeet and trap shooting, but is designed to simulate hunting conditions and situations. The layout will vary depending on the available topography. The shooting stations will make use of available cover to best depict running animals, bird flight and shooting obstacles.B.Targets will be the Hunter/Sporting Clays clay type targets. Sizes of the clay targets may vary depending on different situations.C.The ready position for calling for the target requires the gun to be off the shoulder with the gun butt plate below the shoulder level. The gun may not be shouldered until after the target is visible. In other words, in case of a delay pull, the participant cannot call for the target and immediately shoulder the gun. The participant must wait for the target to appear.A legal target is a whole clay target that is thrown from the trap in a prescribed flight pattern within the five second time limit after the participant calls for the target. Targets broken by the trap or another obstruction will not be scored. These are illegal targets and will be rethrown for the participant, regardless of whether or not the participant fires at the target.D.Shotgun shooting rules:1. Safety and courtesy are first in gun handling; therefore, all guns will be carried unloaded and with the actions open.2. Shotguns with choke tubes will not be allowed to be changed during the shotgun activity. Shotgun barrels will not be changed during the activity. The same holds true with changing of shotguns. Participants may use only one shotgun throughout the activity, with the exception of a shotgun malfunction.3. Tie scores will be broken, in both individual and team categories. See page 3.4. Any gun in good, safe working condition of 12 or 20 gauge will be allowed. Lenses, optics, illuminated type sighting fixtures or release triggers are not allowed. Double targets will be thrown in some instances, therefore the shot gun should be capable of holding two shells.5. 12 and 20 gauge ammunition in low brass target loads will be furnished to every participant. Participants may use their own ammo if desired. Any participant desiring to use a gauge other than the above will have to furnish their own shotguns and shells. Only factory loaded target shells with shot size between 71/2 to 9 (inclusive) will be allowed. It will be the responsibility of the participant or coach to have these shells in the hands of the officials before the activity is fired.-11-E.Shooting Procedures;Each team or squad of individuals with their instructor may or may not be allowed (as a group) to see one legal target from each trap prior to shooting the activity at the station. The participant only will be allowed on the station or firing line while shooting each station. The scorer or range officer will hand shells to the shooter as required. The shooter shoots his/her quota of targets and then returns their gun to the gun rack; the next participant steps forward and repeats the sequence until all individuals and team members have had their turn.F.Scoring will be done by YHEC Volunteers. Only legal targets will be scored and the scorer will be sole judge of whether or not a target is broken. Officials may ask assistance from the trap operator or the range official if they feel their assistance is required.The scorers will call lost for any target they feel is missed. Any challenge to the call must be made immediately by the participant. The final decision will then be made by the scorer with assistance from the trap operator and/or the range official.Rule violations and procedure violations can be referred to the staff and officials for settlement but legality of targets and whether or not the target is broken is the responsibility of the scorer. Only targets with a visual piece broken off will be scored dead. Duster and even targets deflected in flight (but with no visible breakage) will be scored lost.Based on the scorer's judgment, if a target hits an obstruction such as a tree or limb of a tree before the participant has had ample time to fire at the target, a new target will be thrown. However, if the participant has had ample time to fire in the scorer's judgment, and failed to do so before the target hits and object near the end of its flight and breaks, the target will be scored lost.G.Malfunctions: Only the following malfunctions will be allowed and a new target or targets thrown a) ammunition b) trap failure or failure of trap operator.The following malfunctions will not be allowed and targets will be scored lost: a) participant's error, b) failure to load gun, c) failure of gun to fire (other than defective ammunition), d) failure of gun to reload. If a gun breaks through no fault of the participant, another gun may be borrowed and the activity continued. However, if the breakage occurs during the firing at a target, and the target is missed, it will be scored as lost.-12-LIGHT HUNTING RIFLE CHALLENGEA.Light Rifle Challenge: Participants will move or walk through a rifle field course in a natural setting. The course is designed to simulate shooting situations encountered while hunting.B.The Light Rifle Challenge will be conducted with the participants taking shots at swinging iron silhouettes and varying distances from 15 to 75 yards.1.Participants may shoot from any position unless told different.2.The stake with the stations number is not to be used as a prop.3.Magazines are not to be loaded until on the line with scorer. Preloaded mags will be unloaded and reloaded.C.Rifles: Only standard type .22 caliber rifles designed primarily for hunting will be permitted. All action types, except fully automatic, will be permitted. The rifle may not exceed eight and one half pounds in weight including telescope but without a sling and must have a safe trigger pull. Rifles may be equipped with a hunting sling not to exceed 11/2" (3.81 centimeters) in width. Rifles may be equipped with a sporter-type thumbhole stock(non-adjustable). Sights will be open, peep with standard front post and bead, or hunting scopes fixed or variable power optics nine power or less. Shooter may not change guns after firing begins, except in the event of a gun malfunction.BRING YOUR OWN AMMUNITION. All ammunition used in this activity must be standard or high velocity .22 caliber rifle cartridges. No super hot, stingers or heavy bullets allowed (to protect targets). Bring the ammo in the original box. No sighter shots will be allowed once the Challenge begins.D.The following will not be permitted for the Light Hunting Rifle Challenge:1.Clothing with added padding, stiffness or shirt cup designed to assist shooter in remaining steady.2.Shooting petition thumbhole stocks6.Palm rests or forearm of stocks exceeding 21/4" wide or 21/4" deep as measured from the center line of the bore.7.Scopes, fixed, or variable power optics with capabilities greater than nine power.8.Binoculars, monocular or spotting scopes.9.Range finders.10. Adjustable competition sling swivel.11. Kneeling roll.12. Shooting sticks.-13-HUNTING MUZZLELOADER CHALLENGEA.Hunting Muzzleloader Challenge: Participants will be shooting steel knockdown or swingers at three distances from 20 to 75 yards.B.The Hunting Muzzleloader Challenge will be conducted with the participants taking shots at steel swinging targets at varying distance from 20 to 75 yards. Participants will shoot from three shooting positions. (Alternate targets)1.Position number one will have a shooting distance between 20 yards and 35 yards. Participants will only shoot from a standing position with no props permitted at these distances.2.Position number two will have a shooting distance between 36 and 50 yards. Participants may use any shooting position (excluding prone) with the vertical post prop or crossed sticks as the only aide.3.Position number three will have a shooting distance of 51 yards and 75 yards. Participants may use any shooting position and utilize any of the available props (log, crossed sticks, vertical post). C.Muzzleloaders and Equipment: Any flintlock or percussion type muzzleloading rifles will be permitted. Participants are required to bring their own accessories, caps and powder. Muzzleloaders may have a set trigger, not to be set until ready to fire. Muzzleloaders may be equipped with a sling not to exceed 1-1/2 inches (3.81 centimeters) in width. Muzzleloader may be loaded with a single patched lead ball or pure lead bullets. Muzzleloaders may be equipped with sporter type thumbhole stocks(non-adjustable)D.For this event muzzleloaders will be available and sighted in for use by participants who do not possess their own.The following will not be permitted for this event:1.Shooting mats2.Scopes or telescopic sights3.Spotting scopes4.Range finders5.Kneeling roll6.Adjustable competition sling petitive thumbhole stocks(adjustable) 8.Metal jacketed bullets with sabots9.More than 60 grains of black powder or pyrodex per load10.Muzzleloaders larger than .54 caliber12.Adapter kits that would change muzzleloader ignition12.Smokeless powder13. Open cans of powder on line (i.e., no caps on can).14. Pure lead bullets/balls weighing more than 385 grains.15.Wooden ramrods-14-2016 YHEC MUZZLELOADING PROCEDURESGeneral:1. 3 targets per bank with four shooters per table. Each target and loading station will be numbered and shooter must load from that station. 2. Shooting will be: Friday, (1-5), Saturday, (7-5), 3. Numbered score sheets will be issued by Chief Range Officer. Shooters will be taken by order of number, but shooters must be present when number is called or they will go to the bottom of the list.4. Each line officer (scorer) will have a CO2 discharger.5. No spotting and coaching from anywhere. No scope stands permitted.6. The line officers at each table will serve as safety officers, will record the number of shots fired at each target, will score all hits. COACHES COMPETITION Coaches will be allowed to compete this year using the following guidelines:1. Coaches will only be able to compete in; Rifle, Shotgun, Archery, Muzzleloader, Wildlife ID, and Responsibility Exam. 2. Coaches will be able to compete ONLY AFTER ALL of your team members have completed that event.3. Coaches must compete IMMEDIATELY after their team. Coaches must remain with their team.4. Entry Fees will be $25.00 per Coach. (Due to costs of the Range).-15-A P P E N D I X ANM NRA - YOUTH HUNTER EDUCATION CHALLENGEE N T R Y F O R M FOR INDIVIDUALSNAME_________________________________HE Card #__________ ADDRESS _________________________________________________________________________SEX M F (circle one) BIRTHDATE ___________________ CLASS: SUB JR_____ JR _______ SR ______ COACH Team Name ______________________PHONE _______________________ T-SHIRT SIZE______ GUAGE: 12 20 (circle one)NAME_________________________________HE Card #__________ ADDRESS _________________________________________________________________________SEX M F (circle one) BIRTHDATE ___________________ CLASS: SUB JR_____ JR _______ SR ______ COACH Team Name ______________________PHONE _______________________ T-SHIRT SIZE______ GUAGE: 12 20 (circle one)NAME_________________________________HE Card #__________ ADDRESS _________________________________________________________________________SEX M F (circle one) BIRTHDATE ___________________ CLASS: SUB JR_____ JR _______ SR ______ COACH Team Name ______________________PHONE _______________________ T-SHIRT SIZE______ GUAGE: 12 20 (circle one)NAME_________________________________HE Card #__________ ADDRESS _________________________________________________________________________SEX M F (circle one) BIRTHDATE ___________________ CLASS: SUB JR_____ JR _______ SR ______ COACH Team Name ______________________PHONE _______________________ T-SHIRT SIZE______ GUAGE: 12 20 (circle one)NAME_________________________________HE Card #__________ ADDRESS _________________________________________________________________________SEX M F (circle one) BIRTHDATE ___________________ CLASS: SUB JR_____ JR _______ SR ______ COACH Team Name ______________________PHONE _______________________ T-SHIRT SIZE______ GUAGE: 12 20 (circle one)NM NRA - YOUTH HUNTER EDUCATION CHALLENGEE N T R Y F O R M FOR Coaches competingNAME _________________________________________________________________________ADDRESSS ___________________________________________________________________________________________________________________________________________________TEAM NAME ___________________________________________________________________PHONE _____________________________ GUAGE: 12 20 (circle one)By signing this form, I acknowledge that I will not be able to compete in HUNTER SAFTEY TRAIL or ORIENTEERING. __________________________________________________________________________ SignatureNAME _________________________________________________________________________ADDRESSS ___________________________________________________________________________________________________________________________________________________TEAM NAME ___________________________________________________________________PHONE _____________________________ GUAGE: 12 20 (circle one)By signing this form, I acknowledge that I will not be able to compete in HUNTER SAFTEY TRAIL or ORIENTEERING. __________________________________________________________________________ SignatureNM NRA - YOUTH HUNTER EDUCATION CHALLENGEI N F O R M A T I O N F O R M FOR COACHES - REQUIREDPRIMARY COACH___________________________________________ ADDRESS _________________________________________________________________________ COUNTY TEAM NAME ______________________PHONE _______________________ T-SHIRT SIZE______ EMAIL _________________________________COACH NBR. 2 _________________________________ ADDRESS _________________________________________________________________________ COUNTY TEAM NAME ______________________PHONE _______________________ T-SHIRT SIZE______ EMAIL __________________________________COACH NBR. 3_________________________________ ADDRESS _________________________________________________________________________ COUNTY TEAM NAME ______________________PHONE _______________________ T-SHIRT SIZE______ EMAIL __________________________________COACH NBR. 4_________________________________ADDRESS _________________________________________________________________________ COUNTY TEAM NAME ______________________PHONE _______________________ T-SHIRT SIZE______ EMAIL __________________________________ ENTRY FEES: $25 X _________ PARTICIPANTS = $ ________________MAKE CHECKS PAYABLE TO NMSSA/YHECMAIL TO:105 Sharps Ave, Clovis, NM 88101NM - NRA YOUTH HUNTER EDUCATION CHALLENGEMEDICAL HISTORY QUESTIONNAIREPLEASE PRINTName: Date of Birth: Sex: Address: City/State/Zip: Family Medical Ins. Co. Policy # Emergency Contact: Phone ( )Physician Phone ( )NOTE: Please circle "YES" or "NO" and provide additional details where required.ALL INFORMATION WILL BE HELD CONFIDENTIAL1. Are you allergic to any medication (aspirin, penicillin, etc.)? NO YES List 2. Do you take any medication on a permanent or semi permanent basis? NO YES List 3. Have you ever been treated for: Diabetes? High blood pressure? Heart disease? NO YES List medication NO YES When Any other serious disease NO YES What 4. Have you ever been told by a doctor that you have asthma? NO YES List medication 5. Are you currently taking any behavior modification medication? NO YES List medication IMMUNIZATIONS: Tetanus Toxoid Date of last inoculation: P A R E N T ' S A U T H O R I Z A T I O NThis Health History Questionnaire is correct to the best of my knowledge, and the person herein described has permission to engage in all activities, except as noted by me and a physician. In the event I cannot be reached in an emergency, I hereby give permission to a physician to hospitalize, secure proper anesthesia, or to order injection or surgery, or other medical procedures, required by the emergency situation for my son or daughter. LIABILITY/MEDICAL RELEASEIf I am injured or suffer any illness or disease while residing at and participating in programs of the National Rifle Association (NRA) and/or NRA-Whittington Center and/or the New Mexico Shooting Sports Association, except as may be caused by the grossly negligent or reckless conduct of the NRA, and/or NRA-Whittington Center and/or the New Mexico Shooting Sports Association, the NRA Special Contribution Fund, and their agents, servants, employees and volunteers.I represent that I am in good physical condition and I am not aware of any disease or injury that would be aggravated or result in my being incapacitated or injured during any program participation except as designated herein.I give consent for the NRA, and/or NRA-Whittington Center and/or New Mexico Shooting Sports Association to provide medical attentions, transportation, and emergency medical services as warranted by the circumstances.I further understand and agree to abide by the general rules of conduct prescribed for guests of the NRA-Whittington Center, and that violations may result in a denial of privileges, a forfeiture of all fees paid and immediate removal from NRA-Whittington Center property.I (WE) HAVE READ THIS RELEASE. I (WE) HEREBY CONSENT AND AGREE TO THE TERMS OF THIS RELEASE, AND HEREBY WAIVE ANY CLAIMS(S) AS SET FORTH HEREIN. I UNDERSTAND THAT IT AFFECTS LEGAL RIGHTS AND RESPONSIBILITIES, AND I HEREBY AGREE TO ITS TERMS AND CONDITIONS.________________________________________ ________________________________Signature of Participant Date_______________________________________ __________________________________Signature(s) of Parent(s) or Guardian(s) Date ................
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